Organization Active NPI

Jaime F Tan MD PC

  • General Practice Physician
  • Harbor Beach, MI
National Provider Identifier
1336307651
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JAIME F TAN MD PC
Practice address
233 State St
Harbor Beach, MI 48441-1206
Phone
(989) 479-3111
NPI assigned
May 23, 2008
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jaime F Tan, MDNPI 1346235207
Title
Medical Doctor
Phone
(989) 479-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

233 State St
Harbor Beach, MI 48441-1206

Mailing address

233 State St
Harbor Beach, MI 48441-1206
Phone (989) 479-3111

Other identifiers 1

IdentifierTypeStateIssuer
101754354MedicaidMI

National Provider Directory

National Provider Directory

Locations

233 State St
Harbor Beach, MI 48441
Phone (989) 479-3111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1336307651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 STATE ST",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411206",
            "telephone_number": "989-479-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 STATE ST",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411206",
            "telephone_number": "989-479-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME F TAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "989-479-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101754354",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor Beach, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.